Projet RESPECT, Bénin 2024. © MdM

Benin

© MdM

Context

While the UNDP has noted remarkable progress in gender equality in Benin in the areas of education and the economy, glaring inequalities persist in the health sector.

Access to sexual and reproductive healthcare, the fight against gender-based sexual exploitation and violence, and the fight against discrimination against the most vulnerable populations are therefore key priorities for the country.

Médecins du Monde works to support and strengthen public healthcare systems as guarantors of access to healthcare, including sexual and reproductive healthcare.

Benin | 2016 © Pierre-William Henry

© Pierre-William Henry

Médecins du Monde has been working in Benin since 2006. Its actions are part of an integrated approach to sexual and reproductive health and rights (SRHR), combined with the prevention and holistic management of gender-based violence (GBV).

National coordination is based in Cotonou, with operational bases in the departments of Littoral, Borgou and Zou, enabling both community and institutional intervention.

Early pregnancy and gender-based violence: major challenges

In Benin, early pregnancy and gender-based violence are major public health and human rights issues. The rise in teenage pregnancies leads to school dropouts, increased exposure to health risks and lasting limitations on social and economic opportunities.

According to data from the Integrated Data System on Family, Women and Children (SIDOFFE-NG), 1,539 cases of early pregnancy were recorded in 2021. In addition, approximately 49,907 cases of GBV were reported between 2019 and 2022. The most common forms are psychological, physical and sexual violence.

Adolescents and young people facing the challenges of sexuality

Many adolescents and young people face a lack of information and limited access to appropriate sexual and reproductive health services. These difficulties are exacerbated by an unfavourable social and cultural environment: taboos surrounding sexuality, misinformation or under-information, lack of knowledge about sexual and reproductive rights, poor knowledge of prevention methods, early marriage in certain communities, gender inequality and sexual violence.

This combination of factors limits young people’s ability to make informed decisions about their reproductive lives and hinders the effective exercise of rights that are essential to their social, economic and political autonomy.

OUR ACTIONS: SEXUAL AND REPRODUCTIVE RIGHTS AND HEALTH AND PREVENTION AND RESPONSE TO VIOLENCE

With the support of its partners, Médecins du Monde implements several programmes aimed at removing barriers to access to SRHR and combating GBV. These actions combine training, awareness-raising, community mobilisation and institutional advocacy.

 

  • Strengthening young people's knowledge and independence

    Educational talks are organised to improve adolescents’ and young people’s knowledge of sexual and reproductive health. They aim to promote access to appropriate health services, support informed decision-making and reduce the risks associated with lack of information and economic vulnerability.

  • Holistic care for victims of gender-based violence (GBV)

    Information sessions are held on referral pathways and services available to support victims and survivors of GBV. The approach is victim-centred, with medical, psychosocial and legal support aimed at rebuilding lives and empowering victims.

  • Community mobilisation and changing social norms

    Awareness campaigns are conducted within communities, involving parents, religious leaders, traditional leaders and community leaders. They promote dialogue between parents and children, recognition of the sexual and reproductive rights of adolescents, and the fight against early marriage and other harmful practices.

  • Advocacy for an effective protective framework

    Médecins du Monde carries out advocacy work, often in collaboration with other civil society organisations, with authorities and decision-makers at various levels. The aim is to strengthen victim protection, improve access to healthcare and treatment, and support the implementation of the legal and institutional framework for SRHR.

Timeline
  • 2008

    Launch of the programme in Benin through a partnership with the Centre for Integrated Medical Care for Infants and Pregnant Women with Sickle Cell Disease – Abomey.

  • 2009–2012

    Implementation of phase 1 of the national sickle cell disease care programme – Abomey.

  • 2010

    Opening of the Abomey regional branch

  • 2013–2016

    Deployment of phase 2 of the sickle cell disease care programme – Parakou.

  • 2014–2016

    Promotion of health and improvement of living conditions for children aged 0 to 5 living in the slums of the Dantokpa market – Cotonou.

  • 2015

    Support for the pilot centre for the care of underage mothers who are victims of violence, phase 1 – Cotonou.